Caring for relatives with agitation at home: a qualitative study of positive coping strategies.
Caring for relatives with agitation at home: a qualitative study of positive coping strategies.
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DOI：
10.1192/bjpo.bp.116.004069
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发表时间：
2017-01
期刊：
影响因子：
5.4
通讯作者：
Livingston G
中科院分区：
文献类型：
--
作者：
Hoe J;Jesnick L;Turner R;Leavey G;Livingston G
对生活在家中的痴呆症患者进行心理干预以减少躁动的试验一直不成功。通过确定家庭照顾者与痴呆症和躁动的亲属生活在家里的成功策略，为未来的干预措施提供信息。定性深入的个人访谈进行了18个家庭照顾者。我们使用主题分析来确定新出现的主题。护理人员描述了最初的惊讶，然后接受激动是痴呆症的症状，并学会了灵活应对。它们的战略包括：通过熟悉的日常生活来预防激动;通过解决潜在原因和使用分散注意力来减少激动;通过风险实现来防止升级，而不是争论;通过确保亲属的安全来控制他们的情绪反应，然后走开，为自己留出一些时间，并利用家人和服务提供情感和实际帮助。这些策略可以在未来的随机对照试验中进行手动化和测试，以减少生活在家中的痴呆症患者的躁动。一个也没有。© 2017年皇家精神病学院。这是一篇开放获取的文章，根据知识共享非商业性，无衍生品（CC BY-NC-ND）许可证的条款分发。
Trials of psychological interventions for reducing agitation in people with dementia living at home have been unsuccessful. To inform future interventions by identifying successful strategies of family carers with relatives with dementia and agitation living at home. Qualitative in-depth individual interviews were performed with 18 family carers. We used thematic analysis to identify emerging themes. Carers described initial surprise and then acceptance that agitation is a dementia symptom and learned to respond flexibly. Their strategies encompassed: prevention of agitation by familiar routine; reduction of agitation by addressing underlying causes and using distraction; prevention of escalation by risk enablement, not arguing; and control of their emotional responses by ensuring their relative’s safety then walking away, carving out some time for themselves and using family and services for emotional and practical help. These strategies can be manualised and tested in future randomised controlled trials for clinical effectiveness in reducing agitation in people with dementia living at home. None. © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.